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SUGAR LAND MED PED CLINIC P.A. NPI 1124140900


NPI Information

NPI: 1124140900
Provider Name: SUGAR LAND MED PED CLINIC, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3533 TOWN CENTER BLVD S
# 100
SUGAR LAND, TX
ZIP 77479
Phone: (281) 491-2555
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SUGAR LAND MED PED CLINIC, P.A. is a family medicine in Sugar Land, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUGAR LAND MED PED CLINIC, P.A. NPI is 1124140900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3533 TOWN CENTER BLVD S
# 100
SUGAR LAND, TX
ZIP 77479-454
Phone: (281) 491-2555
Fax: (281) 491-2554

The provider's authorized official is Subodh Bhuchar .
The authorized official title is Physician Owner and has the following contact phone number (281) 491-2555.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsH7389TEXASNo
2207Q00000XFamily MedicineH7389TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E57348MEDICARE UPINTEXAS
200993NMEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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